DR. GLENN STEWART WATERS D.D.S.,M.D.
NPI 1245293604
Dentist - Oral and Maxillofacial Surgery in Cincinnati, OH
NPI Status: Active since April 07, 2006
Contact Information
10506 MONTGOMERY RD
SUITE 203
CINCINNATI, OH
ZIP 45242
Phone: (513) 791-0550
Fax: (513) 791-1517
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About GLENN WATERS
This page provides the complete NPI Profile along with additional information for Glenn Waters, a provider established in Cincinnati, Ohio with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1245293604 assigned on April 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 30022099 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1245293604
- Provider Name
- DR. GLENN STEWART WATERS D.D.S.,M.D.
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10506 MONTGOMERY RD SUITE 203 CINCINNATI, OH 45242
- Location Phone
- (513) 791-0550
- Location Fax
- (513) 791-1517
- Mailing Address
- 10506 MONTGOMERY RD SUITE 203 CINCINNATI, OH 45242
- Mailing Phone
- (513) 791-0550
- Mailing Fax
- (513) 791-1517
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Glenn Waters is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Glenn Waters opted out of Medicare effective on 07-01-2013 until 07-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 30022099
- License State
- OH
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Bronze Standard w/ Virtual & Wellness (CLE-Care) - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Gold Standard w/ Virtual & Wellness (CLE-CARE) - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- Silver Standard w/ Virtual & Wellness (CLE-Care) - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| VO5839 | MEDICARE UPIN (02) | OH | |
| WA4164571 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH |
Medicare Participation & PECOS Enrollment Status
Glenn Waters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2013
Opt-Out End Date: 07-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45242 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GLENN STEWART WATERS D.D.S.,M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 9 | 3 | 6 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 9 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 9 + 6 + 6 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1245293604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255310983 | MRS. SUDHA B MAHALINGAM MD Individual | Specialist | 10506 MONTGOMERY RD SUITE G102 CINCINNATI, OH 45242 (859) 363-4886 |
| 1326063488 | DR. DENNIS A PERRY SR. D.M.D. Individual | Dentist (Oral and Maxillofacial Surgery) | 10506 MONTGOMERY RD SUITE 203 CINCINNATI, OH 45242 (513) 791-0550 |
| 1881727568 | COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC Organization | Internal Medicine (Cardiovascular Disease) | 10506 MONTGOMERY RD SUITE G103 CINCINNATI, OH 45242 (513) 861-5555 |
| 1922330323 | CINCINNATI HEMATOLOGY-ONCOLOGY, INC. Organization | Internal Medicine (Medical Oncology) | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 865-1223 |
| 1942515127 | JOHN F. CLEMENT MD INC Organization | Family Medicine | 10506 MONTGOMERY RD SUITE 407 CINCINNATI, OH 45242 (513) 793-2077 |
| 1629336649 | MS. LAUREN N MUSTAIN Individual | Registered Nurse | 10506 MONTGOMERY RD SUITE 203 CINCINNATI, OH 45242 (513) 791-0550 |
| 1376593186 | DR. MARC A TUEL D.O. Individual | Emergency Medicine | 10506 MONTGOMERY RD SUITE 209 CINCINNATI, OH 45242 (513) 389-5222 |
| 1902118359 | MS. COURTNEY RAE RICE MS, CGC Individual | Genetic Counselor, MS | 10506 MONTGOMERY RD G102 CINCINNATI, OH 45242 (513) 865-5578 |
| 1982696340 | DR. LOREN FORREST HIRATZKA MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10506 MONTGOMERY RD SUITE 302 CINCINNATI, OH 45242 (513) 865-5120 |
| 1720065766 | PETE CAPLES M.D. Individual | Internal Medicine (Cardiovascular Disease) | 10506 MONTGOMERY RD SUITE 504 CINCINNATI, OH 45242 (513) 792-7800 |
| 1467840173 | TRIHEALTH W, LLC Organization | Obstetrics & Gynecology | 10506 MONTGOMERY RD SUITE 204 CINCINNATI, OH 45242 (513) 792-5810 |
| 1306166061 | ZACHARY CHRISTOPHER HOLT M.D. Individual | Emergency Medicine | 10506 MONTGOMERY RD SUITE 209 CINCINNATI, OH 45242 (513) 865-9040 |
| 1427041151 | DR. DRORE EISEN M.D. Individual | Dermatology | 10506 MONTGOMERY RD #402 CINCINNATI, OH 45242 (513) 791-6161 |
| 1518921444 | CHRISTOPHER THORESEN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 792-7800 |
| 1184842965 | KSHITIJ KAKAR MD Individual | Surgery | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 794-1601 |
| 1821436361 | ASHLEY M TAMERON M.D. Individual | Surgery | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 232-8181 |
| 1487613238 | BETHESDA HOSPIATL INC Organization | Clinic/Center (Ambulatory Fertility Facility) | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 745-1675 |
| 1487041356 | JANET NICOLE HOLLMANN CNP Individual | Nurse Practitioner (Acute Care) | 10506 MONTGOMERY RD MONTGOMERY, OH 45242 (513) 865-2227 |
| 1942701156 | CLEMENT AMEY PA-C Individual | Physician Assistant | 10506 MONTGOMERY RD CINCINNATI, OH 45242 (513) 865-9040 |
| 1356955181 | MACKENZIE NICOLE STUTZMAN CNP Individual | Nurse Practitioner | 10506 MONTGOMERY RD MONTGOMERY, OH 45242 (513) 865-2227 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245293604, enumerated in the NPI registry as an "individual" on April 07, 2006
The provider is located at 10506 Montgomery Rd Suite 203 Cincinnati, Oh 45242 and the phone number is (513) 791-0550
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Aetna CVS Health, Delta Dental of Ohio, Humana,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 01, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2025.
This NPI record was last updated on April 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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